MID QUEENS DENTAL & ASSOCIATES
NPI: 1316092604
· MIDDLE VILLAGE, NY 11379
· General Practice Dentistry
· NPI assigned 01/24/2007
Provider Details
| Authorized Official | DOURMAS, GEORGE (VICE PRESIDENT) |
| NPI Enumeration Date | 01/24/2007 |
Related Entities
Other providers sharing the same authorized official: DOURMAS, GEORGE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
88 |
$2K |
| 2019 |
138 |
$3K |
| 2020 |
66 |
$2K |
| 2021 |
103 |
$3K |
| 2022 |
52 |
$1K |
| 2023 |
25 |
$623.70 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
178 |
178 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
294 |
293 |
$6K |